Tropospheric Ozone: Formation, Impacts and Regional Transport Introduction Ozone is an oxidant present in both the stratospheric level and the tropospheric level of the earth=s atmosphere. It is produced by a photochemical reaction, meaning that the role of solar radiation is essential in driving the chemistry of its formation. Ozone in the stratosphere occurs naturally and is necessary for the protection of the earth from harmful ultraviolet solar radiation. However, the excessive amounts of ozone in the troposphere result primarily from pollution, mostly from anthropogenic sources, and can have harmful effects on human health and the environment and vegetation. Tropospheric or ground-level air pollution, also known as smog, has been a problem for centuries with the burning of wood and, in the industrial era, coal. It originally was associated with high concentrations of sulfur dioxide and soot particles and was dubbed ALondon Smog@ because of a severe episode there in 1952. In the 1940=s a different kind of smog B photochemical smog B was discovered in the Los Angeles area. Tropospheric ozone is the primary component of photochemical smog. (Finlayson-Pitts and Pitts, 1997). Ozone has historically been regarded as the principal urban and regional air quality problem in the United States (Meng, et. al., 1997), and studies to determine the extent of its harmful effects on both humans and on the environment have been ongoing for decades. Because of the health concerns, ozone has been regulated by the U.S. Environmental Protection Agency under the Clean Air Act since 1971. (CAA, Section 7511). However, ozone is not an emitted pollutant and is instead formed in the atmosphere from other pollutants. Therefore, its regulation has focused on controlling the emissions of its precursors that contribute to its synthesis. Major sources of ozone precursors are coal-fired utilities, many of which are located in the Midwestern United States. Recently, disputes between regions over emerging evidence of the longdistance transport of ozone across states has prompted the EPA and state regulatory agencies to begin addressing the transport problem through cooperative efforts. Formation of Ozone The process by which ozone (O3) is created involves a series of complex photochemically initiated reactions in the atmosphere involving nitrogen oxides (NOx), reactive hydrocarbons, and oxygen (O2). Solar radiation wavelengths of at least 290 nm are required for inducing photochemical reactions. (Finlayson-Pitts, 1997). A simplified version of this process is described as follows: First, a photochemical reaction occurs by which NO2 is disassociated to produce NO and atomic oxygen: NO2 hv ( 420 nm) NO O The atomic oxygen reacts with atmospheric oxygen and with M, an energy-absorbing third body, to produce ozone: O2 O M O3 M Finally, NO reacts with O3 to regenerate NO2 and, in the process, ozone is consumed. O3 NO NO2 O2 Under normal conditions and in the absence of competing reactants in the atmosphere, this cycle would have no net effect. The ambient NO and NO2 concentrations would not change and O3 and NO would be formed and destroyed in equal quantities. However, this cycle is disrupted when hydrocarbons are present because they are highly reactive with the oxygen or ozone atoms produced. Hydrocarbons that react with O2 produce hydrocarbon free radicals (RO2), which can further react with NO2, O2, O3 and other hydrocarbons to form more photochemical pollutants. (Stoker and Seager, 1975). The free radicals that affect ozone are those that react very rapidly with NO to produce NO2. NO RO2 NO2 RO When this occurs, the cycle becomes unbalanced because NO is converted into NO2 faster than NO2 is disassociated into NO and O. The major consequence of this reaction is that, with NO removed from the cycle, the normal mechanism for O3 removal has been eliminated and the concentration of O3 in the air increases. (Stoker and Seager, 1975). Sources of Ozone Precursors Examining the process of ozone formation demonstrates that the two major precursors of ozone are nitrogen oxides and hydrocarbons. Although NOx and hydrocarbons are emitted into the atmosphere from natural sources, the amounts causing air quality deterioration are produced by anthropogenic sources. NOx are emitted from stationary sources through the combustion of fossil fuels. Power plants account for most of those emissions, followed by other industries, and commercial and home heating sources. Hydrocarbon emissions, on the other hand, result primarily from industrial processing and the evaporation of solvents, such as those in paints, varnishes, lacquers, coatings and similar products. Nevertheless, the major anthropogenic source of both of these pollutants is the internal combustion engine used in automobiles and trucks. The EPA estimates that motor vehicles are responsible for 37% of the anthropogenic emissions of hydrocarbons and 49% of nitrogen oxides. (EPA,1997). Given these major sources of ozone precursors, it is not surprising that high ozone levels are most frequently experienced in urban and more populous areas where most industry and automobile traffic are located. 2 Another component essential to the formation of ozone is heat energy from the sun. Because of this need, there are significant variations in ozone concentrations during the course of a day depending on the amount of sunlight. Ozone levels are generally lowest in the morning hours, accumulating through midday, and decreasing rapidly after sunset and the time of day. (Christiani, 1993). Below is a graph of a typical day in an urban area (in this case Los Angeles) showing more specifically the pattern of emissions of NOx and hydrocarbons and the formation of ozone related to the time of day and the presence of sunlight. 1. 2. 3. 4. 5. 6. 7. Before daylight, NO, NO2 and hydrocarbon levels remain fairly stable. As human activity increases, NO peaks at around 6:00 to7:00 a.m., largely due to the early morning rush hour automobile traffic. Hydrocarbons follow a similar pattern as they are also emitted from the automobiles, but peak at a later time. As the sun rises, NO2 levels increase as NO reacts with O3. NO begins to decrease at around 7:00 a.m. as it reacts with free radicals produced by increasing hydrocarbons, producing more NO2. NO2 photochemically disassociates, producing more O, and the O combines with O2 to create more O3. As the NO decreases and consumes less O3, levels of O3 increase, peaking between 12:00 and 3:00 p.m. As the solar intensity decreases, and automobile traffic increases at about 5:00 to 8:00 p.m. with the evening rush hour, the concentration of NO goes up, and begins to consume the O3 that has built up during the day. 3 This cycle then begins again the next day and repeats daily in a typical urban area. In many other areas of the country, this ozone pattern is also dependent on the seasons. In those areas, higher concentrations of ozone are most often observed in the summertime when the sunlight is most intense and temperatures are highest. (NESCAUM, 1997). Impacts of Ozone on Public Health and the EPA Standards Ozone is a lung irritant that affects the respiratory tract and can be especially harmful to sensitive populations, such as children and individuals with asthma. (Weisel, et. al., 1995). Scientific studies of the impacts on humans have revealed a causal relationship between ozone exposure and irritation of the airways leading to inflammation, increased permeability in lung tissue and the destruction of pulmonary cells, and decreased lung function. (Spengler, 1993). There has also been a relationship established between ozone levels and emergency room visits in the Northeast due to respiratory-related problems. (Weisel, et. al.,1995). Exercising individuals typically experience airway inflammation and hyperreactivity, decreased athletic performance, increased cough, altered tracheobronchial clearance and increased permeability of the lung lining, especially during extended exposures. (Leikauf, 1995). Evidence is emerging that ozone possibly impacts the immune system defenses, making people more susceptible to respiratory illnesses, including bronchitis and pneumonia. (Jakab, et. al., 1995). The severity of the impacts seems to vary with the concentrations of ozone and the length of exposure, i.e. intermittent or continuous. Intermittent acute exposures to ambient ozone result in reversible changes in lung function and respiratory symptoms. Elevated levels of daily ozone (peak hour) are associated with restricted activity, asthma symptoms and respiratory admissions to hospitals. (Spengler, 1993). There has recently been more concern about long-term exposures to ozone of a chronic lowlevel nature, which may result in permanent loss of lung function and an increase in associated disease. (Last, et. al. 1994). Also, mixtures of ozone and other pollutants, such as NO2, have caused pulmonary fibrosis and death in chronically exposed laboratory rats, demonstrating a response greater than that to either ozone or NO2 alone. (Last, et. al. 1994). Two time-series studies have associated changes in daily mortality with ozone and other pollutants in Los Angeles and New York City. (Spengler, 1993). The Clean Air Act regulates certain harmful pollutants by requiring the EPA to impose National Ambient Air Quality Standards (or NAAQS) for those pollutants. Under the EPA must promulgate two sets of standards: a primary standard sufficient to protect human health with an adequate margin of safety, and a secondary standard to protect the environment, including plants, animals, ecosystems, and visibility. Ozone is one of the six criteria pollutants regulated under the Clean Air Act. Until recently, both the primary and secondary ambient air quality standard for ozone was set at 0.12 parts per million (ppm) for one hour, not to be exceeded more than once per year. To determine whether the 4 standard is being met, ground-level ozone concentrations are measured continuously by monitoring devices and hourly averages are calculated. Any areas in which average hourly ozone levels exceeded 0.12 ppm more that once per year are classified as Aozone nonattainment areas.@ In 1992, an estimated 140 million people lived in ozone nonattainment areas. (Koenig, 1995) Other countries have set various 1-hour ozone air quality standards or guidelines as well, many of which are below 0.12 ppm. Canada has set a standard of 0.082 ppm, Japan, 0.06 ppm, and the World Health Organization (WHO) for Europe, 0.075 - 0.10 ppm. (Weisel, et. al., 1995) Last year, on September 16, 1997, after a lengthy scientific review process, the EPA lowered the standard for ozone to 0.08 ppm and is replacing the 1-hour averages with a new 8-hour average to protect against longer exposure periods. The EPA also replaced the previous secondary standard with an identical standard to the primary standard. Many environmentalists and public health advocates were pleased when the EPA lowered the standard for ozone last year. Nevertheless, others question whether the 0.08 ppm standard averaged over 8 hours is sufficient to protect the public health, especially that of children, asthmatics and individuals that exercise frequently outdoors. In determining the effectiveness of the EPA standards in protecting the public health, it is interesting to examine some of the studies conducted on the health impacts of ozone relative to the EPA standards. Many of these studies were performed before the EPA changed the standard and thus reference the 0.12 levels. However, because in many urban areas ozone levels continue to exceed even the 0.12 ppm, these impacts are still very significant. Research on the Impacts of Ozone on Human Health There is a complex set of variables involved in the research of ozone=s adverse health effects and different studies use different combinations of these variables. For example, adverse human health effects, such as pulmonary function, can be measured by forced vital capacity (FVC), the forced expiratory volume in the first second (FEV1), and/or peak expiratory flow rate (PEFR). Other testing methods can reveal more localized effects, such as tests on lavage fluid, a saline solution used to rinse the lungs and airways of subjects after exposure, or biopsies of tissue samples. Researchers can conduct epidemiological studies, in which symptoms are recorded in diaries and through followup examinations while subjects perform functions in the natural environment, or controlled studies conducted in laboratories. Lastly, different studies use alternative concentrations of ozone (estimated peak daily ozone levels, average 24-hour levels, or levels averaged over a shorter time period) and for varying lengths of exposure. Several clinical and epidemiological studies have documented significant decrements in pulmonary airflow in individuals exposed levels of ozone at or below the level of 0.12 ppm ozone. (Leikauf, et. al., 1995). For example, earlier this year, a two-year study was published by researchers at Brigham and Women=s Hospital and the Harvard School of Public Health which showed that ozone levels common to non-urban parts of the U.S. were associated with decreases in lung function in adult hikers in New Hampshire. The study evaluated the effects of ozone and other air pollutants on the lung function of 530 nonsmokers hiking on New Hampshire=s Mount Washington over the 5 course of two summers. The hikers ranged from age 18 to 64 and hiked an average of eight hours a day. During this time they were exposed to ozone levels of 0.021 to 0.074 ppm per hour. The overall average exposure was 0.04 ppm. The researchers measured the hikers FEV and FVC before and after their hikes. They found that a 0.05 ppm increase in ozone concentration was associated with decreased lung function over the course of the hike: an average 2.6% decline in FEV and a 2.2% decline in FVC. More significantly, the researchers found that hikers with a history of asthma or wheezing had an even greater decline: their ozone related changes were approximately four times greater that the other subjects. (Korrick, et. al., 1998). In general, ozone-associated changes in pulmonary function are greater in natural rather than in controlled exposure settings. Although it is hypothesized that synergism or interaction with other with other uncontrolled environmental factors play a role in this finding, the explanation for this discrepancy continues to be unknown. (Korrick, et. al., 1998). However, the significance of the findings of the New Hampshire study is the potential of negative health impacts of relatively low levels of air pollutants, not only among residents of urban and industrial regions, but also among individuals engaged in outdoor recreation in wilderness areas. As demonstrated by the New Hampshire study, asthmatics have been shown to be more sensitive to ozone levels than Ahealthy@ individuals. Dr. Jane Koenig reviewed recent research of ozone exposure in asthmatics compared to non-asthmatics. (Koenig, 1995). In one study, conducted by Dr. Koenig herself, ten asthmatic and eight nonasthmatic subjects participated. All were exposed to clean air, air containing 0.12 ppm, and air containing 0.24 ppm ozone through a head dome exposure system for 90 minutes during intermittent or moderate exercise. After exposure, bronchial lavage tests revealed increased white blood cells from subjects with asthma immediately after exposure to 0.24 ppm ozone and then again 24 hours after the exposure, indicating an inflammatory response to ambient levels of ozone inhalation. There was also an increase in the epithelial cells in the lining of the lungs and airways immediately after the exposure. No similar changes were seen in the nonasthmatic subjects. The researchers concluded that asthmatic individuals are more susceptible to acute inflammatory effects produced by low levels of ozone than the nonasthmatic individuals. (Koenig, et. al, 1995). Whereas this was a controlled experiment, the number of respiratory symptoms reported by asthmatics increases in non-controlled environments on days when the ozone concentrations are high. (Koenig, et. al., 1995) This is especially true for children, for which asthma is the number one chronic disease. The number of children with asthma in the United States increased by 79% between 1982 and 1993. (NESCAUM, 1997). Whereas it has not yet been proven that ozone exposure causes childhood asthma, it does initiate and aggravate asthmatic attacks in children, as well as adults, already suffering from the disease. More recent research is being conducted to determine ozone=s role in initiating or promoting asthmatic attacks. (Weisel, et. al., 1995). A study was performed on 67 mildly asthmatic children ages 5 to 13 living in a 5 kilometer radius in the metropolitan area of Mexico City. The area where the children lived was exposed frequently to intermittently high ozone levels. For the study, the parents were instructed to document 6 respiratory symptoms and the use of bronchodilators and other medications in daily diaries during three study periods lasting several weeks over the course of one year. They were also asked to bring the children in for a clinical exam at the end of each week. The researchers obtained measurements at a local pollution-monitoring station to determine daily levels of ozone and other pollutants. During the study period, maximum daily 1-hour ozone levels ranged from 0.04 to 0.39 ppm. The findings revealed a positive association between daily reporting of respiratory symptoms and ozone concentrations. On days when the concentrations exceeded 0.17 ppm, the prevalence of respiratory symptomsCincluding the presence of cough, phlegm, and lower respiratory tract illness (LRI) B was significantly higher than on days when ozone levels were below 0.12 ppm. Using statistical analysis, they determined that an increase of .05 ppm in the daily 1-hour maximum O3 ambient concentrations led to an 11% increase in LRI symptoms, a 29% increase in phlegm, and a 10% increase in cough on the same day. They also determined a 3% increase in the use of broncholdilators. Even healthy children with no underlying pulmonary diseases are at risk for adverse health effects associated with ozone. (White, et. al. 1995) The reasons for this increased risk over adults are twofold. First, children are more likely to spend increased amounts of time outdoors during summer months when ozone levels are higher. Second, their lungs are more vulnerable because they are in the development stages. Moreover, increased attention is being drawn to the disproportionate risks of ozone exposure associated with the children of racial/ethnic minorities with low incomes in the United States. These children are more likely to reside in urban areas and therefore may be exposed to ozone levels that exceed the national ambient air quality standards. (White, et. al , 1995). Impacts on Vegetation and Forests In addition to human health impacts, ozone has also been found to significantly harm the environment. It interferes with the ability of plants to produce and store food, making them more susceptible to disease, insects, other pollutants, and harsh weather. (EPA, 1997). Exposure to ozone also causes visible effects of ozone injury to plants such as bleached or light flecks or stipples (small clusters of dead cells) on the upper surface of leaves. Mature leaves are the most easily damaged. (Wall and Strong, 1985). Ozone is responsible for 500 million dollars in reduced crop production in the United States each year. (EPA, 1997). Growth and yield reductions result primarily from reduced photosynthesis and transport of carbohydrates within plants. The National Crop Loss Assessment Program performed an eight year study in which crops were grown in the field either in air filtered to assume background ozone concentrations, ambient air or air to which extra ozone had been added. From its studies, it estimated yield reductions for different types of crops. Corn, when exposed to a seasonal average seven-hour mean ozone concentration of .04 ppm ozone, was estimated to experience 0 to 1.4% reduction in yield, but wheat could experience 0 to 29%. At .06 ppm, yield losses for corn could be .3 to 5.1% and for wheat, .9 to 51%. The range of yield reductions indicated differences among varieties. (OTA, 1988). A study of germinated pea seedlings fumigated with ozone demonstrates the relationship of 7 ozone and plant responses. Ethylene is a substance is normally produced by all plants and interacts with other plant grown substances to coordinate developmental processes. When plants are exposed to environmental stresses, they respond by releasing larger amounts of ethylene, referred to as stress ethylene. One set of seedlings was fumigated at levels of 50 to 150 ppbv (parts per billion per volume) for 7 hours every day for their first three weeks of growth. Another set of seedlings grown in clean air was fumigated in the same concentrations for only one 7-hour period after the first three weeks of growth. The second set of seedlings demonstrated dead leaves and double the amounts of stress ethylene produced by the first set. The results indicate that intermittent episodes of elevated levels of atmospheric ozone may be more harmful to peas than constant high levels of ozone. The study also found that the presence of additional pollutants such as nitrogen oxides significantly enhances leaf injury by increasing stress ethylene production. (Wall and Strong, 1985). It has been suggested that ozone is also a factor in the forest decline that has occurred in central Europe and in California, perhaps in combination with other pollutants or other environmental stresses. The evidence of decline is especially pronounced at higher altitudes where ozone levels may be greater and more persistent. Most researchers say that a link is likely but difficult to identify, so research is still being performed in this area. (Goldstein, 1997). Regulation of Ozone and Its Interregional Transport As mentioned previously, the EPA has regulated ozone for decades through the imposition of maximum standards under the Clean Air Act. Under the Act, however, the individual states are responsible for the implementation of the standards set by EPA. The states submit State Implementation Plans (SIPs) which document how they will meet the standards by reducing emissions of ozone precursors from sources such as cars, fuels, industrial facilities, power plants, and consumer or commercial products. So far, state plans include controls on certain stationary sources, development of cleaner cars and fuels, the use of special nozzles at the pumps of certain gas stations to recapture gasoline vapors, and vehicle inspection programs. States in the Northeast have struggled for decades to meet the standards for ozone in urban areas, but have failed to attain the required levels. Because they are not in attainment, they have been forced to implement more significant and costlier pollution reduction measures than other areas of the country, except California. Despite these additional measures, however, they continue to exceed standards for ozone and its precursors. The states in the Northeast claim that, unless something is done to address the transport of ozone and other pollutants that cause ozone from other states, attainment of the standards is impossible. This long-range interstate flow of air pollution has been the subject of conflict between these two regions for years. The frustration for the Northeast states has stemmed from the fact that those sources in the pollution-generating states to the west are beyond their control. The Midwest, instead, has claimed that the high ozone levels in the Northeast have been caused by local sources and that the contribution of any transport was minimal. Given this inter-regional hostility, a cooperative 8 effort to address these issues seemed unlikely for many years. In an effort to begin to deal with ozone transport within the Northeast Corridor, Congress created the Ozone Transport Commission (OTC) with the passage of the 1990 Clean Air Act Amendments (CAA, Section 7511c). Since that time, the OTC has adopted many regional pollution control measures across the Ozone Transport Region, an area that encompasses Connecticut, Delaware, the District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont and northern Virginia. The measures address emissions of both hydrocarbons and nitrogen oxides from stationary and mobile sources, and include the development of a regionwide mechanism for trading allowances for NOx emissions in consultation with EPA. However, the region covered by the OTC still failed to encompass states with pollution sources in upwind areas, particularly the Midwestern states which are home to coalfired power plants many believe are responsible for regional ozone formation and transport to the Northeast. (OTC, 1998) In 1995, the Ozone Transport Assessment Group (OTAG) was established, which was a voluntary group of representatives from government, industry, environmental groups and others from 37 states. OTAG comprised the states in the Ozone Transport Region as well as most Midwestern and Southern states. OTAG=s purpose was to determine the extent of the ozone transport problem in the eastern part of the country and develop recommendations to the EPA to determine how to address it. (OTC, 1998). In June of 1997, after two years of study and periods of contentious debate, OTAG released its report and recommendations to EPA. In the report, OTAG confirmed that the eastern half of the United States was indeed experiencing pollution coming from elsewhere. In fact, through modeling and monitoring data developed by OTAG workgroups, it was estimated that the range of ozone and precursor transport is approximately 150 to over 500 miles. The extent of the transport, of course, depends on a variety of meterological factors involving ozone and its precursors, including weather systems, atmospheric stability and persistent wind patterns. OTAG=s modeling found that on days when the Northeast typically experienced its most severe ozone days, the winds came at higher speeds from the west and southwest. (NESCAUM, 1997) Based on its findings, OTAG recommendations to the EPA to reduce regional transport included increased utility controls, increased research, and an emission trading program for nitrous oxides similar to that established for sulfur dioxide under the Acid Rain program. (LeClair, 1997). In response to the OTAG recommendations, the EPA in September of this year issued a rule requiring 22 states and the District of Columbia to submit SIPs that address the regional transport of ozone through reductions of nitrogen oxides emissions. The rule calls for a reduction in emissions by 28%, or 1.2 million tons, over the next several years. Although the EPA did not mandate which sources must be targeted to reach the reduction levels, its plan demonstrated that the most costeffective approach will be the control of electric utilities, which are currently the largest contributors and the least controlled sources. Most of these utilities are located in six states: Ohio, Indiana, Illinois, West Virginia, Michigan and Pennsylvania. To minimize the estimated costs incurred, the 9 agency encouraged states to establish a pollution trading system for electric utilities similar to the sulfur dioxide trading program. The reductions required by this rule must be in place by May 2003. (EPA, 1998). Reaction to the new rule was predictable. The Northeast governors hailed the new rule as a victory for clean air in the Northeast and a much-awaited Aleveling of the playing field@ between the regions. The Midwestern governors denounced the rule arguing that it was unnecessary, unjust and unaffordable. It remains to be seen what the actual costs will be to implement this rule and the extent of the benefits that will result. Conclusion It is apparent from the research performed to date that ozone presents a significant health hazard. Despite regulatory efforts, the control of ozone remains complex because of its pervasiveness and its nature as a secondary pollutant. However, these control efforts are on-going and hopefully the recent tactics by the EPA, once implemented, will result in lower levels of ozone across the country, bringing health benefits to millions living in affected areas. 10 ENDNOTES 8. Clean Air Act, 42 U.S.C.A. '' 7511, et. seq. 9. Finlayson-Pitts, B.J., and Pitts, J.N. (1997). Tropospheric Air Pollution: Ozone, Airborne Toxics, Polycyclic Aromatic Hydrocarbons, and Particles. Science 276: 10451051. 10. Goldstein, A. (1997). Review, AForest Decline and Ozone: a Comparison of Controlled Chamber and Field Experiments.@ Quarterly Review of Biology 12:489. 11. Jakab, G.J., Spannhake, E.W., Canning, B.J., Kleegerger, S.R., and Gilmour, M.I. (1995). The Effects of Ozone on Immune Function. Environmental Health Perspectives 103: 7789. 12. Koenig, J.Q. (1995). Effect of Ozone on Respiratory Responses in Subjects with Asthma. Environmental Health Perspectives 103: 103-105. 13. Korrick, S.A., Neas, L.M., Dockery, D.W., Gold, D.R., Allen, G.A., Hill, B.L., Kimball, K.D., Rosner, B.A., and Speizer, F.E. (1998). Effects of Ozone and Other Pollutants on the Pulmonary Function of Adult Hikers. Environmental Health Perspectives 106:93-99. 14. Last, J.A., Sun, W., and Witschi, H. (1994). Ozone, NO and NO2: Oxidant Air Pollutants and More. Environmental Health Perspectives 102: 179-183. 15. LeClair, V. (1997). OTAG Recommends Ozone Controls Tailored to Pollution Transport. Environmental Science & Technology, August, 1997. 16. Leikauf, G.D., Simpson, L.G., Santrock, J., Zhao, Q., Abbinante-Nissen, J., Zhao, S., and Driscoll, K.E. (1995). Airway Epithelial Cell Responses to Ozone Injury. Environmental Health Perspectives 103: 91-95. 17. Mehlhorn, H., and Wellburn, A.R. (1985). Stress Ethylene Formation Determines Plant Sensitivity to Ozone. Nature 327:417-418. 18. Meng, Z., Gabdub, D., and Seinfeld, J.H. (1997). Chemical Coupling Between Atmospheric Ozone and Particulate Matter. Science 277: 116-119. 19. Northeast States for Coordinated Air Use Management (NESCAUM) (1997). AThe Long-Range Transport of Ozone and Its Precursors in the Eastern United States.@ Boston, MA. 11 20. Office of Technology Assessment, United States Congress (1988). AUrban Ozone and the Clean Air Act: Problems and Proposals for Change.@ Washington, D.C. 21. Ozone Transport Commission (1998). APollution Control Strategies in the Northeast and Mid-Atlantic States to Clean Up Ground-Level Ozone: Progress to Date and A Look Towards the Future.@ Washington, D.C. 22. Romieu, I., Meneses, F., and Ruiz, S. (1997). Effects of Intermittent ozone Exposure on Peak Expiratory Flow and Respiratory Symptoms Among Asthmatic Children in Mexico City. Archives of Environmental Health 106(2):93-99. 23. Spengler, J.D. (1993) Health Impacts of Ozone. In ACost Effective Control of Urban Smog@ (R.F. Kosobud, W.A. Test and D.A. Hanson., eds.) pp. 121-131. Federal Reserve Bank Of Chicago. 24. Stoker, S.H., and Seager, S.L. (1975). AAir and Water Pollution,@ Scott, Foresman and Company, Glenville, IL. 25. U.S. Environmental Protection Agency (1997). AOzone: Good Up High, Bad Nearby, @ EPA-451/K-97-002, Washington, D.C. 26. U.S. Environmental Protection Agency. (1997) AThe Regional Transport of Ozone: New EPA Rulemaking on Nitrogen Oxide Emissions, @ EPA-456/F-98-006, Washington, D.C. 27. Weisel, C.P., Cody, R.P., and Lioy, P.J. (1995). Relationship Between Summertime Ambient Ozone Levels and Emergency Department Visits for Asthma in Central New Jersey. Environmental Health Perspectives 103: 97-102. 28. White, R., Rappaport, S., Lieber, K., Gorman, A. DuMelle, F., Maple, D., and Edelman, N. (1995). Children at Risk From Ozone Air Pollution B United States, 1991-1993. JAMA 273: 1484-1485. 12